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Moderate-Complexity Genetic Analysis

Alaska rates for HCPCS 81403

This genetic test analyzes a specific inherited gene change of moderate testing complexity. It's used when the gene involved doesn't have its own dedicated, individually named test, so a standardized level of testing is used instead based on the complexity of the analysis required. It helps confirm or rule out a specific genetic condition being considered by a doctor or genetic counselor.

Rates data updated October 2026.

How much does Moderate-Complexity Genetic Analysis cost?

$417

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $741 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$257 to $417
FacilityA hospital or hospital-owned outpatient department$741$631 to $1,318

How much rates vary

Facilitymedian $741 · 10th to 90th $513 to $2,188Professionalmedian $417 · 10th to 90th $123 to $617
$100$200$500$1K$2Kfacility $741professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,288.25
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$616.60
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$891.25
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$257.04
Typical High
$776.25
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$691.83
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$416.87
Typical High
$416.87
Providence
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$630.96
Typical High
$891.25
Providence
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$371.54
Typical High
$562.34

Where Alaska sits

The same service costs 3.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 1st of 51

$417

AK $417KY $112

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.